Provider Demographics
NPI:1104948579
Name:SAAGER, NORMAN DEAN
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:DEAN
Last Name:SAAGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 NE TREMONT DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-1149
Mailing Address - Country:US
Mailing Address - Phone:509-520-2183
Mailing Address - Fax:
Practice Address - Street 1:508 E BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:MILTON FREEWATER
Practice Address - State:OR
Practice Address - Zip Code:97862-1315
Practice Address - Country:US
Practice Address - Phone:541-938-3363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR49731223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health